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ALT
LIVER SPECIFIC than AST
PROCEDURE – AST
RBC has 5-8 times amount of ALT
traditionally known as SGPT
GLTUTAMIC & PYRUVATE = END PRODUCT * Make sure that the tubes are clean
1. Prepare AST Working Reagent according to
Alanine aminotransferase (ALT) is widely
instructions.
reported in a variety of tissue sources. The
2. Zero spectrophotometer at 340 nm with distilled
major source of ALT is of hepatic origin and
water.
has led to the application of ALT
3. For each sample and control, add 1.0 mL Working
determinations to the study of hepatic
Reagent to cuvette or test tube and warm to 37°C for
diseases.
3 minutes.
ALT is used more for liver diseases such as
*Use a drybath to prewarm the Cuvette
Hepatitis, liver necrosis, cirrhosis, and liver
*Make sure that the Cuvettes are free from scratches which
metastasis
may interfere with the results of the spectrophotometer
Elevated serum levels are found in hepatitis,
4. Add 100 uL (0.10 mL) serum to its respective tube
cirrhosis, and obstructive jaundice. Levels of
and mix gently.
ALT are only slightly elevated in patients
5. Read and record absorbance at 1 minute. Continue
following a myocardial infarction. (but not
incubating at 37°C and record absorbance again at 2
sensitive)
and 3 minutes.
Higher concentrations of ALT are found in
*Every succeeding minute for three minutes return the Cuvette
the liver and low concentrations can be
to the drybath after reading the results every minute
found in striated muscles such as cardiac
and skeletal muscles, and in kidneys AST Principle: Oxidation reaction; Oxaloacetate
ALT is more liver specific oxidizes NADH to NAD in the presence of MDH
AST is also referred to as SGOT/ Serum ** OXIDATION
Glutamic Oxaloacetic Transaminase The speed of Oxidation of NADH to NAD is directly
ALT is also referred to as SGPT/ Serum proportional to AST activity
Glutamic Pyruvate Transaminase ** NADH –COENZYME ; REDUCED FORM
PROCEDURE – ALT
0.0312+0.0211+0.0163= 0.0686= =
0.0022+0.0017+0.0016= 0.0055= =
3 – 90 seconds 0.0195
= 4824
Amyloclastic
AKA. Iodometric: Tarch has an iodine
Computation of Amylase Sample:
attached component; amylase will act on the
iodin in starch to hydrolase the product 60 seconds: = 0.0152
The Decrease/ Disappearance of color is
proportional to the amylase content of the 120 seconds: = 0.0138
particular sample
Saccharogenic
Measures reducing sugars; reducing sugars
are directly proportional to the amount of 0.0152+0.0138= 0.029= =
amylase since reducing sugars e.g. glucose 0.0145 x 4824= 69.95U/L
are degradation products of amylase and - Using serum the value of the Amylase sample is within
starch the reference range
Chromogenic *Sample Values are checked every 30 seconds to see
Has attached chromogenic dye increasing trends of values, if values are erratic (meaning;
Color formation it goes up and down and it has no pattern) computation is
A higher degree of colorization signifies a invalid
higher degree of amylase, hence colorization
is directly proportional to the amount of LIPASE
amylase
Continuous Monitoring Pancreas- major source of enzymes
The oxidation of NADH to NAD is directly Lipase is responsible for fat metabolism/ Triglyceride
proportional to the amount of amylase a metabolism
sample has 1. Specifically referring to pancreatic Lipase
based on oxidation-reduction reaction Triglyceride/ Triacylglycerol
1. Has a glycerol backbone
AMYLASE COMPUTATION 2. TAGs that are similar are called Simple
triglycerides
3. TAGs that have variation are called
Complex Triglycerides or Mixed
Lipases Function as an esterase and is responsible
for the removal and attachment of fatty acids
1. Triglicerides have 3 fatty acids
2. Removal of fatty acids is in a stepwise
manner
I. Diglyceride
II. Monoglyceride
III. Glycerol
3. Fatty acids are the absorbed by the intestinal
wall and reassembled again as triglycerides
4. Triglycerides are then transported and sorted
how the body sees fit
Lipases are not exclusive to the Pancreas
Lipase is a group of enzymes, which hydrolyze the
ABSORSBANCE Sample
(U)
Blank Standard
Substrate:
- 0.8% (w/v) olive oil in alcohol
* the most common method is with the use of Olive oil (Gives
of a turbid sample because of fat 0 – initial 0.0112 0.0022 0.0123
Cherry Crandall method / PRINCIPLE: incubation
of serum with substrate (Olive oil – SOURCE OF
1 – 1 minute 0.0276 0.0034 0.0445
TAGS)
Buffer:
- Tris Buffer 69 mM 2 – 2 minute 0.0389 0.0048 0.0567
- Sodium deoxycholate 10mM
- pH 9.0
0.0012 + 0.0026= 0.0038 - The value of the Lipase sample is within the reference
= 0.0019 range
ABSORSBANCE Sample
(U)
Blank Standard